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HOLLY ANNE HAINES PA-C, RDN
NPI 1477972768
Physician Assistant in Wright Patterson Afb, OH

Active since April 15, 2014PECOS Enrolled
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433(937) 522-2778 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2024, Mar 4, 2024 (2 updates tracked since 2024).

About Holly Anne Haines Pa-c, Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY ANNE HAINES PA-C, RDN (NPI 1477972768) is an individual physician assistant in Wright Patterson Afb, Ohio, licensed in (1220046) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477972768
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHOLLY ANNE HAINESCredential: PA-C, RDN
Location Address4881 SUGAR MAPLE DRWright Patterson Afb, OH 45433-5529
Mailing Address4881 Sugar Maple DrWright Patterson Afb, OH 45433-5529 · (379) 257-0402
Phone(937) 522-2778
Sole ProprietorNo
Enumeration DateApril 15, 2014
Last NPPES UpdateApril 1, 20242 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1477972768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed · 1220046
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 1079535 (ID)
4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433
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Other Names 1

Former Name (1)Holly Anne Piatt

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Anne Haines Pa-c, Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAMES REBELLO III
Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Greene County (937) 257-9014
CARLA HUELSKAMP PHARMD
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9696
JOHN ALAN ARTHUR
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-4482
ALEXIS D OWEN
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-1574
GREGORY JAMES MORSE M.D.
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9679
KENDRA M. SCHMUCK RD LD
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-8815
MATTHEW PHILIP SCULLY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (616) 717-0169
KAREN LEWIS RTT
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-4159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Haines's NPI number?

The NPI number for Holly Haines is 1477972768. It was assigned to this individual provider in the NPPES registry on April 15, 2014. The provider is also known as Holly Anne Piatt.

Where is Holly Haines located?

Holly Haines practices at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 522-2778.

What is Holly Haines's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Holly Haines enrolled in Medicare?

Yes. Holly Haines is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Holly Haines was last updated on April 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.